Section 4(1)(b)(iii)

THE PROCEDURE FOLLOWED IN THE DECISION MAKING PROCESS, INCLUDING CHANNELS OF SUPERVISION AND ACCOUNTABILITY 

The Institute has two main constitutional bodies, namely, the General body and Governing Council. The General body formulates overall policies while the Governing Council is responsible for the management and administrative of the Institute. Both these bodies comprise members nominated by the Government of Karnataka from time to time. The Chairman of the General Body is the Chairman of the Governing Council. The Director of the Institute is its administrative and academic Head. 

The Finance Committee, Building Committee are constituted by the Governing Council to consider and to recommend matters for approval of the governing council with regard matters related to the respective committees. Tender Inviting Committee and Tender Accepting Committees shall take decision for the procurement of goods and service 

SWEEPER

1. He will keep the area spick and

2. He will promptly give spotlessly clean urinals and bed pans as and when required by the patients\

3. He will collect urine and stool specimens, take them to the laboratory for investigation and being the

4. He will assist in cleaning and disinfection of soiled linen, mattress and other

5. He will do any duty as asked by his superiors in the interest of patient

6. He will assist the nurse in looking after the

7. He will transport the patient to the various areas of the hospital as and when

8. He will run errands and carry

9. He will clean and dust beds, door, window and other

10. He will render first-aid to patients when required.

11. He will prepare dead bodies, arrange their transportation to the mortuary and assist in terminal

12. He will do any duty as desired by his superiors in the interest of patient care.

13. He will be polite and courteous under all 

WARD MANAGEMENT-I 

MEDICAL WARD 

1. Admissions through OPD or otherwise to the hospital should be centralized where possible. If no central admitting office exists, clerks posted to the ward concerned will deal with the record relating to admission of Admissions outside OPD hours will be the responsibility of nursing staff on duty in the accident and emergency department.

2. Patients should be advised not to bring valuable things to the

3. Temperature, pulse rate and respiration rate should be charted by the attending nurse while admitting the

4. Transfer of a patients to another ward in the hospital will be done only under the order of the senior medical- officer

5. On transfer of the patient, his medical record and belongings will be sent to the area

6. The receiving staff nurse will inform enquiry, telephone operator and the business office of the admission of all paying patients. 

TREATMENT

1. Treatment will commence only on the advice of the general duty medical officer or the There should, however, be on delay in the commencement of the treatment.

2. Oral or telephonic order regarding treatment by the specialist will be committed to writing by the house officer and got signed by the specialist at the earlised

3. Specialist when he visit the patient should record also the time and date of his visit in the case

4. The specialist will ensure that his instruction order are meticulously compiled with by the junior medical staff and nursing

5. The Nursing staff will write in the treatment book the prescription ordered by the register or specialist and carry out the orders as directed.

6. Periodical bacteriological test should be done and appropriate measures taken to control infection by the ward sister. 

DISCHARGES

1. Paying patients will normally be discharged before 5 If they discharged before 1 PM, they will not be charged. If they are discharged after 1 pm, they will be charged for a full day.

2. Discharge order will be given only by he attending doctor on the case

3. Discharge order will be signed by the house officer and instruction for the patient will be clearly indicated in the

4. Discharge order for paying patient will be not be given unless all dues are paid by the patient to the business

5. Discharge against medical advice should be done after taking in writing from the patient or his relation appropriate undertaking, The medical and nursing staff should however endeavour to see that the patient goes out of the hospital satisfied.

6. The following documents will be maintained by sister

7. Ward inventory of non-expendible stores

8. Expendible stores register

9. Linen Register

10. Call book

11. Bight report book

12. Treatment register and

13. Case records 

WARD MANAGEMENT-II 

SURGICAL WARD 

Intimation regarding operation of patient will be received by the sister incharge of the ward, 12 hours before the commencement. The operation list will include name of patient, bed number, ward diagnosis and operating theatre number. This will be written neatly in block letter or type written.

1. No operation will be scheduled on Sunday and holidays except emergency cases

2. Patient should be admitted to the hospital at least 12 hours before the day of operation.

3. Preoperative routine like arranging blood, collecting laboratory and X-ray reports, writing the history in the case record, is the responsibility of Clean instruction in this regard should be given to them by the register of the unit concerned.

4. Patients should be sent to the operating theatre on receipt of a message from the theatre and should not be allowed to remain in the corridor of the theatre unnecessarily.

5. The case record of the patient should accompany the patient to the theatre and returned to the ward with the patient after the operation with clear instruction regarding post operative

6. The doctor should take special precautions to avoid post-operative infection

7. Children over 12 years will not be admitted to the paediatric

8. One of the parents preferably the mother will be allowed to stay with child patient.

9. Dietician will prescribe the feeding formula for children in consultation with the 

OUT-PATIENT DEPARTMENT

1. Every patient seen in the OPD must be registered and an OPD card given at the time of registration.

2. The OPD consultation should be organized in such a way that there is continuity of treatment to the patient from the outdoor to the

3. Drugs should be prescribed only with reference to hospital

4. OPD dispensary, X-ray department and laboratory should be located so as to conform to patient Their timings should be prominently indicated.

5. Proper seating and cooling/heating arrangements should be arranged for OPD

6. Doctor Incharge OPD and the sister incharge OPD should frequently take round to ensure smooth working of the

7. Clinical sheets, presentation chits, request blanks for laboratory X-ray and other ancillary service, changes slips should be adequately stocked.

MINOR OPERATION  THEATER

1. This should be kept infection It is desirable that there is one room fro septic cases and one room for aseptic cases.

2. A list of minor operation undertaken in the minor OT should be prominently

RAY SECTION

1. X-ray will be taken of OPD cases, particularly of the orthopaedic department with reference to the prescription of the hospital medical officers of the rank of Registers and

2. It will be ensured that charges where leviable are paid first before X-ray are taken

3. Nursing staff or a female attendant should be present when X-ray of the female patients are

4. Types of X-ray taken in the OPD X-ray department will be prominently

OPD LABORATORY

1. The work of the department should be organized by appointment system and/or on ‘first come, first served’

2. Laboratory investigation will be made only with reference to the prescriptions of the treating doctors.

3. It will be ensured that charges where leviable are paid first before investigation are done.

4. Types of investigations done in the OPD laboratory should be prominently

5. Responsibility should be fixed for erroneous laboratory reports and remedial action 

OPERATING THEATRES

1. Duties of all categories of staff working in the theatres, recovery rooms should be specified and exhibited. Techincians besides attending to proper sterilization and arrangement of theater equipment, should be familiar with their routine maintenance and repair as well.

2. Duty roster of the subordinate staff should be prepared by the nurse incharge of each theatre, ICU

3. All the staff working in the theatres, ICU should be given periodical exposure to asceptic procedures practiced in the\

4. Operating for the next day should be consolidated at about 3pm in the afternoon of the previous day and prominently exhibited on the notice boards of the theatres and reception office.

5. Arrangements should be made for informing the relation of patients about the progress of the

6. In case of death of a patient on the operating table, ICU, the Director should be informed by the officer incharge theatres for holding an immediate enquiry and for taking into his custody all relevant records of the case. This should be do in case of deaths in the hospital whether suspicious or otherwise by the unit

7. In the case of postponement of scheduled operations for reason other than medical, the officer incharge theatres should send a weekly written report to the Director together with

8. The officer incharge of theatres should clearly issue written administrative and technical instructions for dealing with emergency operation as well as daily scheduled operations. He would also specify ward and theatre responsibility for preparing patients.

9. Consent for operations and anaesthesia to be administered should be obtained from the patient or from the nearest relation in case unconscious patients by the nursing staff in the prescribed from and attached to the case sheet. If no consent is forthcoming the surgeon concerned should decide the matter on merits of the In the case of a minor, written consent of either of the parents or the guardian of the patient is essential.

10. Foot wears used by the staff and visitors inside the operating theatres should be daily washed and Different types or identifiable foot wears should be issued to the staff and to the visitors.

11. The following documents should be maintained in the operating theatres, and ICU as the case may be;

A) Operating register

B) Operating list file

Inventory of dead stock articles and equipment

1. Indent books for expendible and non-expendible stores

2. Planned preventive maintenance schedules and

3. Linen account

LABORATORY SERVICES

1. The organization of the services should be done in such a manner that repetitive non-time consuming tests are done near the patients in the wards or in the outpatient department,

2. No test should be conducted in the laboratory without a written requisition of a treating doctor.

3. Requests for laboratory tests for emergency cases should be attended to expeditiously. Officer incharge of the division should see that this facility is not misused by ward and our patient For this purpose he should arrange periodical discussion with the clinical staff particularly in the junior ones.

4. Laboratory reports should be signed by the person who did procedure and countersigned by the incharge

5. Responsibility for rendering reliable laboratory report rests totally on the technician who does the

6. Responsibility of the specialist in the field is to guide the juniors whenever required besides organizing the service in the interest of patient

7. It is desirable to organize refresher course for all technicians periodically to keep them well informed in the advancement of laboratory practices.

8. Technical procedure manuals should be written for standardizing laboratory techniques. Instruction for preparing the patients should be prepared in easily understandable language.

9. It is desirable that technicians are rotated in the various disciplines of the laboratory periodically so that they may gain all round

10. Every effort should made to introduce appointment system so that the patient called has not to wait for

11. Procedure for collection of laboratory charges where leviable should be streamlined and made convenient for the

12. In the interest of efficiency, automation should be introduced wherever

13. Distribution of laboratory reports should be systematized to ensure that no report is placed for lost and the practice of giving duplicate copy of the report is minimized.

14. Preventive maintenance of all laboratory equipment should be done wherever

BLOOD BANK

1. Routine instruction of the Blood Bank about the collection and issue of blood should be strictly compiled with except in the case of real

2. Blood Bank should be closely associate with operating theatres and emergency departments.

3. It is imperative that doctors are posted to Blood Bank by rotation for learning the techniques of Blood Bank and transfusion service.

4. The following documents will be maintained in the laboratories as the case may be;

A) Laboratory examination register

B) Inventory of non-expendible stores and equipment

Expendible stores account

1. Indent book

2. Blood donation register

3. Blood issue register

4. File of blood requisitions

MEDICAL RECORDS

Pharmacy (Hospital Stores) 

A) All the drugs & Disposable, consignments items-stents, grafts, pacemakers, Linen & bandages materials are procured as per transparency act and stored at stores Department, for the use of inpatient of Kidwai memorial Institute of Oncology  These items are issued to all the wards and O.T’s on obtaining the indent from the concerned Head from the wards & O.T’s.

B) The drugs & disposables will be issued on verification of the expiry date by the phamacists. The time expired drugs & disposable should be weeded out systematically.

C) All drugs particularly narcotics should be kept under safe custody.

D) The items stocked for cleaning the hospital purpose should be issued on indents from the concerned heads. 

E) The physical stock verification should be conducted every financial year. The following documents will be maintained in this Department.

1. Day Book

2. Stock Ledgers

3. Indent forms date wise-file

4. Monthly indent file

5. Stores correspondence file

6. Drugs License file

7. Purchase order file

8. Bill copies